Form F1 (PV-0103) "Rental Program Plate Enrollment / Termination" - New York City

What Is Form F1 (PV-0103)?

This is a legal form that was released by the New York City Department of Finance - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 9, 2019;
  • The latest edition provided by the New York City Department of Finance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form F1 (PV-0103) by clicking the link below or browse more documents and templates provided by the New York City Department of Finance.

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Download Form F1 (PV-0103) "Rental Program Plate Enrollment / Termination" - New York City

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F1
N E W Y O R K C I T Y D E PA R T M E N T O F F I N A N C E ● P R O G R A M O P E R AT I O N S D I V I S I O N
RENTAL PROGRAM
RENTAL PROGRAM PLATE ENROLLMENT / TERMINATION
Mail to: NYC Department of Finance, Rental Program, 66 John Street, 3rd Floor, New York, NY 10038
Use this application to enroll or terminate a vehicle in the Rental Program. You must provide this completed F1 form,
Instructions:
with check(s) and copies of DMV registrations for ALL plates being enrolled. Copy this page to enroll additional plates. If you need
assistance completing forms or have any questions, please contact the Fleet/Rental Unit at 212-291-2578.
SECTION I - CONTACT INFORMATION
R
PLEASE PRINT OR TYPE
Enter Rental Program ID:
1. Applicant / Company Name: ________________________________________________________________________________
2. Company
Mailing Address: _________________________________________________________________________________________
Cannot accept P.O. Boxes
NUMBER AND STREET
CITY
STATE
ZIP CODE
3. Check One:
Sole Proprietorship
Partnership
Corporation
n
n
n
4. Company
5. Company Contact
Contact Name
: __________________________________________________
Phone Number: _________________
(required)
FIRST NAME
LAST NAME
6. Company
7. Employer
E-mail Address
:__________________________________
Identification No:
(required)
SECTION II - SIGNATURE
The undersigned affirms that the company is in the business of renting and/or leasing vehicles or are intended to be rented
or leased in such business.
______________________________________
____________________________________
Printed Name of Corporate Officer
Corporate Officer’s Signature
Date
SECTION III - FEE INFORMATION
Complete Section IV before completing this Section
1. Enter number of Plates enrolled (total # listed as “A” in Trans Code column in Section IV below):
__________________
2. Enter total enrolled Months (Effective Date column in Section IV below):
__________________
3. Multiply Plates X Months (multiply total on Line 1 by total on Line 2):
__________________
4. Amount Enclosed (should equal total on line 3): $ ___________________
5. Check Number: __________________
SECTION IV - VEHICLE PLATE INFORMATION
0
Enter the vehicle Plate Number, State and Plate Type for each vehicle.
Enter
for Zero.
For Car
:
-
A
(additions should be as of 1st of the month only)
TRANSACTION CODES
ADD PLATE
Rental
-
T
(terminations as of the end of the month)
TERMINATE PLATE
ADDITION
TERMINATION
Unit Use
TRANS
EFFECTIVE DATE
EFFECTIVE DATE
(
)
(
)
CODE
PLATE NUMBER
STATE
PLATE TYPE
Only
FORMAT MMDDYYYY
FORMAT MMDDYYYY
Termination Date:
# of “A” Keyed:
# of “T” Keyed:
Keyed by:
Visit Finance at nyc.gov/finance
PV-0103
4.9.2019
F1
N E W Y O R K C I T Y D E PA R T M E N T O F F I N A N C E ● P R O G R A M O P E R AT I O N S D I V I S I O N
RENTAL PROGRAM
RENTAL PROGRAM PLATE ENROLLMENT / TERMINATION
Mail to: NYC Department of Finance, Rental Program, 66 John Street, 3rd Floor, New York, NY 10038
Use this application to enroll or terminate a vehicle in the Rental Program. You must provide this completed F1 form,
Instructions:
with check(s) and copies of DMV registrations for ALL plates being enrolled. Copy this page to enroll additional plates. If you need
assistance completing forms or have any questions, please contact the Fleet/Rental Unit at 212-291-2578.
SECTION I - CONTACT INFORMATION
R
PLEASE PRINT OR TYPE
Enter Rental Program ID:
1. Applicant / Company Name: ________________________________________________________________________________
2. Company
Mailing Address: _________________________________________________________________________________________
Cannot accept P.O. Boxes
NUMBER AND STREET
CITY
STATE
ZIP CODE
3. Check One:
Sole Proprietorship
Partnership
Corporation
n
n
n
4. Company
5. Company Contact
Contact Name
: __________________________________________________
Phone Number: _________________
(required)
FIRST NAME
LAST NAME
6. Company
7. Employer
E-mail Address
:__________________________________
Identification No:
(required)
SECTION II - SIGNATURE
The undersigned affirms that the company is in the business of renting and/or leasing vehicles or are intended to be rented
or leased in such business.
______________________________________
____________________________________
Printed Name of Corporate Officer
Corporate Officer’s Signature
Date
SECTION III - FEE INFORMATION
Complete Section IV before completing this Section
1. Enter number of Plates enrolled (total # listed as “A” in Trans Code column in Section IV below):
__________________
2. Enter total enrolled Months (Effective Date column in Section IV below):
__________________
3. Multiply Plates X Months (multiply total on Line 1 by total on Line 2):
__________________
4. Amount Enclosed (should equal total on line 3): $ ___________________
5. Check Number: __________________
SECTION IV - VEHICLE PLATE INFORMATION
0
Enter the vehicle Plate Number, State and Plate Type for each vehicle.
Enter
for Zero.
For Car
:
-
A
(additions should be as of 1st of the month only)
TRANSACTION CODES
ADD PLATE
Rental
-
T
(terminations as of the end of the month)
TERMINATE PLATE
ADDITION
TERMINATION
Unit Use
TRANS
EFFECTIVE DATE
EFFECTIVE DATE
(
)
(
)
CODE
PLATE NUMBER
STATE
PLATE TYPE
Only
FORMAT MMDDYYYY
FORMAT MMDDYYYY
Termination Date:
# of “A” Keyed:
# of “T” Keyed:
Keyed by:
Visit Finance at nyc.gov/finance
PV-0103
4.9.2019